U.S. patent number 3,744,488 [Application Number 05/151,089] was granted by the patent office on 1973-07-10 for bone splint.
Invention is credited to Jack R. Cox.
United States Patent |
3,744,488 |
Cox |
July 10, 1973 |
BONE SPLINT
Abstract
An intramedullary splint possesses a longitudinal slot whose
opposite edges are formed to engage with the threads of screws
securely anywhere along the length of the slot. The splint element
is transversely arcuate for engagement inside of the bone canal.
The interaction of the screws and slot allow the splint to be drawn
up firmly against the concave wall of the bone for greatest
support. The placement of metallic parts inside of the bone rather
than on the outside reduces interference with muscle attachments
and reduces tissue trauma.
Inventors: |
Cox; Jack R. (Myrtle Beach,
SC) |
Family
ID: |
22537269 |
Appl.
No.: |
05/151,089 |
Filed: |
June 8, 1971 |
Current U.S.
Class: |
606/64;
606/309 |
Current CPC
Class: |
A61B
17/72 (20130101); A61B 17/80 (20130101); A61B
17/7283 (20130101) |
Current International
Class: |
A61B
17/68 (20060101); A61B 17/72 (20060101); A61B
17/80 (20060101); A61f 005/04 () |
Field of
Search: |
;128/92BC,92BB,92D |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
|
|
|
|
|
|
|
742,618 |
|
Jan 1933 |
|
FR |
|
67,552 |
|
Nov 1942 |
|
NO |
|
1,505,513 |
|
Nov 1967 |
|
FR |
|
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Yasko; J.
Claims
I claim:
1. An intramedullary splint comprising an elongated unitary splint
body portion in the form of a plate element which is uniformly
arcuate in cross section for ready engagement with the interior
surface of the intramedullary cavity and with said body portion
adapted to extend on opposite sides of a fracture, said body
portion having a longitudinal slot formed therethrough and said
slot being continuous along the major portion of the length of said
body portion, the opposing longitudinal edges of said slot being
parallel and beveled to a uniform V-shaped cross section along the
slot in laterally opposed relationship for ready engagement with
screws introduced at any desired points along the slot, said
longitudinal edges of the slot lying substantially in the concave
plane defined by the interior face of the splint body portion, and
a relatively short integral screw-threaded extension on one end of
the elongated splint body portion for engagement with the
intramedullary cavity of a short bone portion on one side of a
fracture.
Description
BACKGROUND OF THE INVENTION
Both external bone splints and intramedullary splints are known in
the prior art and each possesses certain inherent advantages and
disadvantages. Any metal hardware attached to the outside of a bone
will naturally interfere with muscle attachments and other
surrounding living tissue. From the standpoint of the bone surgeon,
the exterior bone splint is more easily viewed during the actual
surgery and therefore in some cases the technique of applying the
splint to the outside of the bone is simpler than the application
of an internal splint. The obvious advantage of the internal bone
splint over the external type resides in the placement of metallic
parts away from muscle attachments and tissue surrounding the bone,
thereby resulting in a reduced degree of trauma caused by the
surgery or the repair of a fracture. A further advantage of the
intramedullary splint is that the threads of attaching screws may
be engaged with a metal part inside of the bone canal and reliance
on threaded engagement with the bone itself is dispensed with.
Nevertheless, in the prior art, the internal type splint or pin has
not gained wide acceptance because of the fact that the splint
element is hidden inside of the bone and the drilling of the bone
at precise locations to allow screws to be accepted by threaded
openings in the metal splint is exceedingly difficult.
With the above in mind, the objective of this invention is to
provide a bone splint of the internal type with all of the inherent
advantages associated with that type and to a great extent
eliminating the above-discussed prior art difficulties which have
prevented wider acceptance of the internal splint up to the present
time. In accordance with the present invention, an intramedullary
splint is provided in the form of an elongated plate member which
is arcuate in cross section so as to conform to the natural
transverse curvature of the bone canal. The splint has an elongated
slot extending for the major portion of its length and the opposing
edges of this slot are feathered at proper elevations to receive
the screw-threads of fastener screws at any point along the splint
or slot. The arrangement is such that with the internal splint
positioned within the bone canal so as to bridge the fracture, the
surgeon can drill through the bone at a number of points along the
splint and can be assured that the threaded fasteners will properly
engage with the splint due to the fact that the feathered edge slot
forms a continuous thread-engaging element, and there is no
necessity for tedious alignment of drilled bone openings with
preformed threaded openings in the splint. Additionally, the
arrangement enables the metal fastener screws to have their threads
securely engaged with the splint element and without reliance on
rather precarious engagement with threads formed in the bone
structure. When the screws are tightened, the splint element will
be drawn up snugly against the interior surface of the bone wall
where it can give the greatest possible support, without
interference with muscle attachments or surrounding tissue. Only
the small heads of the screws remain exposed on the exterior of the
bone and, in some instances, these heads may be partly recessed or
countersunk into the bone wall.
Other objects and advantages of the invention will be apparent
during the course of the following description.
BRIEF DESCRIPTION OF DRAWING FIGURES
FIG. 1 is a plan view, partly in section, of a fractured bone
having the intramedullary splint of the invention applied
thereto.
FIG. 2 is an enlarged vertical section taken on line 2--2 of FIG.
1.
FIG. 3 is a greatly enlarged cross section through the splint
element showing the engagement of a threaded fastener with the
opposing edges of a slot in the splint element.
FIG. 4 is an exploded perspective view of the splint element and
threaded fasteners.
FIG. 5 is a side elevational view of a fractured bone with a
modified form of splint to accommodate fractures close to a bone
joint.
FIG. 6 is an exploded perspective view of the modified splint
element and threaded fasteners.
FIG. 7 is a plan view of the modified splint element.
DETAILED DESCRIPTION
Referring initially to FIGS. 1 through 4 of the drawings, wherein
like numerals designate like parts throughout, the numerals 10 and
11 designate sections of a bone having a generally diagonal
fracture indicated at 12. The roughly cylindrical bone canal is
designated by the numeral 13 in FIGS. 1 and 2.
The intramedullary splint forming the subject matter of the
invention consists of an elongated pin or plate element 14 formed
of stainless steel or the like and being arcuate in cross section,
as shown, to conform approximately to the cross sectional curvature
of the bone canal 13. The length of the splint element 14, its
radius of curvature and its wall thickness will be determined
generally by the size of the bone to be mended and the drawing in
this regard is illustrative only.
The splint element 14 is provided at its transverse center and
throughout the major portion of its length with a straight
longitudinal slot 15 having opposed parallel beveled or feathered
edges 16 and 17. These two opposing edges of the slot 15 are offset
in the radial direction, FIG. 3, by a distance equal to the pitch
of screw-threads 18 on threaded fasteners 19 which are employed to
anchor the splint element to the wall of the bone. The angularity
of the approximately V-shaped opposing edges of the slot 15 is such
that the edges will constitute a single thread for smooth
engagement with the helical screw-thread 18 of each fastener 19.
The arrangement is such that a fastener or fasteners 19 of proper
size may be received by the slot 15 at any point along its length
and this greatly simplifies the procedure of mending the fracture
in comparison to the tedious task of aligning screws with small
threaded openings in a splint element.
In mending the fracture 12, the splint element 14 is introduced
into the bone canal 13, following known surgical techniques, and
the bone sections 10 and 11 are brought together until there is
abutment along the line of the fracture 12. The bone wall is
suitably drilled and the threaded fasteners 19 in whatever numbers
are required are introduced through the bone openings and are
received threadedly by the slot 15 at any necessary points along
its length and without further adjustment. When the fasteners 19
are tightened, the interengagement of the screw-threads 18 with the
opposing feathered edges 16 and 17 will draw the splint element 14
firmly up against the interior surface of the bone wall where the
splint will give the greatest degree of support. The splint element
14 will extend on opposite sides of the fracture 12, as shown in
FIG. 1. The arcuate cross sectional shape of the splint element
renders the same extremely rigid and resistant to bending.
Since the only metal parts of the splint on the exterior of the
bone are the small heads of the fasteners 19, there is practically
no interference with muscle attachments and other tissue in the
immediate vicinity of the fractured bone. The provision of the long
slot 15 in the splint element greatly simplifies the bone surgeon's
task in repairing the fracture with an internal type splint where
much of the latter is hidden from view. The continuous slot as
compared to individual small threaded openings makes it much easier
to apply the fasteners 19 than would otherwise be the case were the
slot not employed. Another great advantage of the invention resides
in the fact that the fastener threads 18 are firmly engaged with
the metal thread formed by the slot edges 16 and 17, and there need
not be reliance on threaded engagement between the fasteners and
the bone wall itself. The metallic thread engagement allows the
splint element 14 to be clamped very tightly against the bone wall
for maximum rigidity and complete immobilization of the fracture
during the knitting process.
FIGS. 5 through 7 show a modified splint element 20 for mending a
fracture 21 occurring very close to a bone end 22. In such cases,
there is insufficient length of bone on the short side of the
fracture 21 to anchor the splint element 14. Instead of this
element, the modified element 20 has a threaded pin extension 23 on
one end thereof for direct engagement inside of the short terminal
end of the fractured bone. The remainder of the splint element 20
contains a longitudinal slot 24 with feathered offset opposed edges
25 and 26 identical to the edges 16 and 17 in the prior embodiment.
The slot 24 receives screws 27 which may be identical to the
previously-described screws 19. On theside of the fracture 21
remote from the bone end 22, the splint element 20 functions inside
of the bone in the identical manner shown and described in
connection with the preceding embodiment of the invention, and
further description should not be required for a full understanding
of the invention by anyone skilled in the art.
It is to be understood that the forms of the invention herewith
shown and described are to be taken as preferred examples of the
same, and that various changes in the shape, size and arrangement
of parts may be resorted to, without departing from the spirit of
the invention or scope of the subjoined claims.
* * * * *